Reversing the negative vector
Augmentation of the infraorbital rim in patients with a retrusive infraorbital rim can bring it into a better relationship with the globe, thereby reversing the negative vector.
Augmenting the orbital rim could be done with:
■Implants
■Hyaluronic Acid Filler
■Nanofat injection
Augmentation is part of the strategy for normalizing the appearance in patients who have a negative vector. It can be adapted for negative vector patients who are first seeking improving in their periorbital appearance or for those whose lid malposition and round eye appearance have been exaggerated by previous lower blepharoplasty